Background: Acute appendicitis is the most frequent surgical urgency in children. Frequently, it can be complicated with an intraabdominal abscess that will require a longer and expensive treatment. Our aim is to know if it is possible to predict this complication before its beginning. Material and methods: Retrospective case-control study with patients treated between and , paired according to their own characteristics age, sex and weight , clinical aspects symptoms, time of their onset, physical examination and type of appendicitis gangrenous.
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Objectives: This study aims to assess the clinical risk of pediatric appendicitis with appendicolith and its guiding significance in therapeutic strategies' selection. Methods: Children diagnosed with acute appendicitis from June January were analyzed retrospectively. Patient cohort was divided to appendicolith group AG and nonappendicolith group NAG based on whether the appendicolith presents or not in the open surgery. Clinical presentations, laboratory parameters, computed tomography findings, and pathological changes were reviewed and compared between two groups.
Results: Among patients, 23 mean age, 6. The patients in AG demonstrated prolonged length of stay Alvarado score 8. Conclusions: Pediatric appendicitis with appendicolith has greater clinical risk and tends to causing complicated appendicitis. Keywords: appendicitis; appendicoliths; child; inflammation. The authors report no conflicts of interest in this work.
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Full-text links Cite Favorites. Abstract in English , Spanish. Conflict of interest statement The authors report no conflicts of interest in this work. Similar articles Pediatric appendicitis with appendicolith often presents with prolonged abdominal pain and a high risk of perforation. Yoon HM, et al. World J Pediatr. Epub Mar 5. PMID: Appendicular colic and the non-inflamed appendix: fact or fiction?
Fraser N, et al. Eur J Pediatr Surg. Khan MS, et al. Acute recurrent appendicitis with appendicolith. Hollerman JJ, et al. Am J Emerg Med.
PMID: Review. Perforation risk in pediatric appendicitis: assessment and management. Howell EC, et al. Pediatric Health Med Ther. Show more similar articles See all similar articles. An evidence-based definition for perforated appendicitis derived from a prospective randomized trial. J Pediatr Surg. Risk of appendicitis in patients with incidentally discovered appendicoliths. J Surg Res. Conservative treatment in uncomplicated acute appendicitis: reassessment of practice safety.
Eur J Pediatr. Amoxicillin plus clavulanic acid versus appendicectomy for treatment of acute uncomplicated appendicitis: an open-label, noninferiority, randomised controlled trial.
Appendectomy versus antibiotic treatment in acute appendicitis: a prospective multicenter randomized controlled trial. World J Surg. Show all 16 references. Full-text links [x] Sociedad Argentina de Pediatria. Copy Download.
[Predictive Factors of Gangrenous Post-Appendectomy Intra-Abdominal Abscess. A Case-Control Study]
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Appendicolith: An Explicit Factor Leading to Complicated Appendicitis in Childhood